Pediatric Complex Regional Pain Syndrome With and Without a History of Prior Physical Trauma at Onset.
Pediatric Complex Regional Pain Syndrome With and Without a History of Prior Physical Trauma at Onset.
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DOI：
10.1097/ajp.0000000000001140
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发表时间：
2023-09-01
影响因子：
2.9
通讯作者：
Gmuca, Sabrina
中科院分区：
文献类型：
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作者：
Sherry, David D.;Mondal, Antara;McGill, Mackenzie;Gmuca, Sabrina
目的：探讨有复杂区域疼痛综合征(CRPS)的儿童(T组)与无此病史的儿童(NT组)是否存在身体创伤事件的差异。我们对2008年4月至2021年3月期间被诊断为CRPS的18岁或以下的儿童进行了一项单中心的回顾性研究，并登记在患者登记处。提取的数据包括儿童的临床特征、疼痛症状、功能残疾问卷、心理史和疼痛灾害量表。检查图表以获取结果数据。我们确定了301名CRPS儿童，95名(%)报告了既往身体创伤。在年龄、性别、持续时间、疼痛程度、功能、心理症状和儿童疼痛灾难性量表上的得分方面，两组之间没有差异。然而，T组的患者更有可能有铸型(43%比23%，P<；0.001)。T组症状完全缓解的可能性较小(%vs76%，P=0.036)。两组之间没有其他结果差异。我们发现患有CRPS的儿童在报告有身体创伤史的儿童中与那些没有报告身体创伤史的儿童之间的差异很小。身体创伤可能没有像石膏这样的静止不动起到那么重要的作用。这些群体大多有相似的心理背景和结果。
To determine whether differences exist between children with complex regional pain syndrome (CRPS) who identify an inciting physical traumatic event (group T) versus those without such history (group NT). We performed a single-center, retrospective study of children diagnosed with CRPS, 18 years old or younger, presenting between April 2008 and March 2021 and enrolled in a patient registry. Abstracted data included clinical characteristics, pain symptoms, Functional Disability Inventory, psychological history, and Pain Catastrophizing scale for children. Charts were reviewed for outcome data. We identified 301 children with CRPS, 95 (64%) reported prior physical trauma. There was no difference between the groups regarding age, sex, duration, pain level, function, psychological symptoms, and scores on the Pain Catastrophizing Scale for Children. However, those in group T were more likely to have had a cast (43% vs 23%, P < 0.001). Those in group T were less likely to experience complete resolution of symptoms (64% vs 76%, P = 0.036). There were no other outcome differences between the groups. We found minimal differences in children with CRPS who report a prior history of physical trauma to those who do not. Physical trauma may not play as significant a role as immobility, such as casting. The groups mostly had similar psychological backgrounds and outcomes.
影响因子：
7.4
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